MR. MICHAEL THOMAS WEBER PHYSICIAN ASSISTANT NPI 1902990963

NPI Information

NPI: 1902990963
Provider Name: MR. MICHAEL THOMAS WEBER, PHYSICIAN ASSISTANT
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
1919 LATHROP ST
SUITE 209
FAIRBANKS, AK
ZIP 99701
Phone: (907) 452-4446
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MR. Michael Thomas Weber, PHYSICIAN ASSISTANT is a surgical physician assistant in Fairbanks, AK. MR. Michael Thomas Weber, PHYSICIAN ASSISTANT NPI is 1902990963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1919 LATHROP ST
SUITE 209
FAIRBANKS, AK
ZIP 99701
Phone: (907) 452-4446
Fax: (907) 451-9480

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	171	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R73968	MEDICARE UPIN
2	MD45451	MEDICAID	ALASKA
3	152823	MEDICARE ID-TYPE UNSPECIFIED		INDIV
4	152822	OTHER		MC GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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